Management and outcome of bronchial trauma due to blunt versus penetrating injuries

Table 1 Surgical procedures and outcomes in 73 patients

Surgical procedure	No. of patients	No. of survivors
BBT group (n = 38)
Debridement and end-to-end anastomosis of the main bronchus	121,2	12
Simple suture of the main bronchus	3	3
EDT for clamping of proximal end of main bronchus	1	0
Emergency explorative thoracotomy in operating room	1	0
Pneumonectomy of left lung	1	0
Simple suture of lobar bronchus	5	5
Lobectomy	73	7
Irregular segmentectomy	8	8
PBT group (n = 35)
Repair of main bronchus	21	2
Simple suture of lobar bronchus	4	4
Lobectomy	6	6
Emergency explorative thoracotomy in operating room	1	0
Pulmonary tractotomy for ligation of vessels and bronchi	22	21

¹Simultaneous repair of vascular injury in one case.

²Two required reoperation, including resection of the stenosed segment followed by anastomosis 3 years later in one and sleeve resection with the upper lobe 6 mo later in another.

³In one of seven patients, anastomosis was performed during the initial thoracotomy, and reoperation had to be performed because of stenosis 3 mo later.

BBT: Blunt bronchial trauma; PBT: Penetrating bronchial trauma; EDT: Emergency department thoracotomy.